Clinical

Question 1

What make up the Ottawa Knee Rules?

Answer 1

Age >55 
Isolated tenderness to patella
Tenderness of fibular head
Inability to flex knee to 90
Inability to bear weight immediately and in ED

Question 2

What’s the nonsurgical management for acute meniscus tears?

Answer 2

RICE and activity limitation

Question 3

How long is a return to activity program following an acute meniscal tear?

Answer 3

6 weeks

Question 4

What is the diagnostic cluster for meniscal tears by Lowery et al?

Answer 4

Subjectie reports of knee catching or locking

Tibiofemoral joint line tenderness to palpation

Pain with forced knee hyperextension

Pain with maximal passive knee flexion

Pain or an audible click with McMurray test

Question 5

When can you weight bear following meniscus surgery?

Answer 5

Immediately (in full extension) or beings by 2 weeks to progress to full weight bearijt by 4 weeks

Question 6

What activities tend to produce patellofemoral pain?

Answer 6

Squatting, stairs, running, sitting

Question 7

Where is pain for patellofemoral syndrome vs patellar tendinopathy?

Answer 7

PF: retropatellar
PT: inferior pole of patella

Question 8

When would surgery be considered for patellar tendinopathy?

Answer 8

If a patient has no success with conservative management for at least 6 months

Question 9

How does pain region differ with OSD and SLJ?

Answer 9

OSD: tibial tuberosity
SLJ: inferior pole of patella

Question 10

What conservative management should be performed for lateral knee pain aka ITB Syndrome?

Answer 10

Mostly expert opinion: 
treat acute inflammation
Self stretches of ITB, hip flexor, quads
Manual therapy
General LE strengthenjng
Activity modifications

Question 11

What are the subcategories of PFPS?

Answer 11

Overuse/overload without other impairment

Muscle performance deficits

Movement coordination deficits

Mobility impairments (hypo or hyper)

Question 12

The PFPS CPG provides B level evidence against what intervention?

Answer 12

Biofeedback

Question 13

The PFPS CPG provides A level evidence against what modality? B level?

Answer 13

A: Dry needling

B: ultrasound, cryotherapy, iontophoresis, phonophoresis, electrical stimulation, laser

Question 14

What is the only modality we may use (C evidence) for PFPS according to the CPG?

Answer 14

Acupuncture

Question 15

How long does the CPG recommend patellar taping for PFPS?

Answer 15

Short term for immediate pain reduction - 4 weeks (B evidence)

Question 16

How long does the CPG recommend foot orthoses for PFPS?

Answer 16

Pre-fab for excessive pronation for short term relief - 6 weeks

Question 17

According to the knee meniscus CPG, by when should one reach full weight bearing post-surgery?

Answer 17

6-8 weeks (B evidence)

Question 18

What test assesses for a posteromedial injury?

Answer 18

Hughston’s drawer sign